Personal Information

Players

Number of Players*

Select the number of players you would like to register. $150 per person includes golf, cart, lunch, swag bag, free drink, social hour, and DJ! Please list the first and last names of the players you are paying for below.

Player 2*

Player 3*

Player 4*

Are you part of a foursome?*

Name of foursome?*

Helicopter Ball Drop

Helicopter golf balls*

Would you like to purchase ball drop balls? They are $10/ball and you get a chance to win a parking spot at VdM, an XBOX or one of our other great prizes! Winners need not be present to win.

Please enter “0” if you do not wish to purchase.

Price:$10.00Quantity:

Student Name

Teacher Name (Middle School – 6th Period)

Social Hour Tickets

Social Hour Tickets*

Have a non-golfer join you after golf for food, drinks, DJ, and prizes!

Please enter “0” if you do not wish to purchase.

Price:$25.00Quantity:

Payment

Credit Card*

American Express

Discover

MasterCard

Visa

Card NumberExpiration DateSecurity CodeCardholder Name

Total

$150 per person includes golf, cart, lunch, swag bag, free drink, social hour, and DJ. If you purchased the ball drop and/or additional social hour tickets, they are also included in this total for the event.